Stacey M. Laverock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019282 Issued in PA

Practice address

176 Virginia Ave
Rochester, PA 15074-1723

Phone

(724) 770-9095

Fax

(724) 770-9096

NPI assigned

Jan 20, 2015

Last updated

Nov 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Stacey M. Bittler Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multipath Counseling

  • Clinical Social Worker
  • Hermitage, PA
  • NPI 1982200937
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1861881492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-770-9095",
            "fax_number": "724-770-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VIRGINIA AVE",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "724-770-9095",
            "fax_number": "724-770-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVEROCK",
        "first_name": "STACEY",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BITTLER",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawn P Johnson
• Mackenzie Mara Kieffer
• Jennifer Michele Knowles, OTR/L
• Kopsack Associates, Inc. (Rochester Manor)
• Nicole Kurash, LSW
• Lee C. Chewning DMD PC
• Brittany Lyn Longobardi, DNP, PMHNP-BC
• Judith Ann Lorenz, R.N.
• Jennifer Lyle, RD
• David Patrick Madden, DNP-PMHNP

• Clinical Social Worker in Rochester, PA
• Providers in Rochester, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.